Admission Form

Application Form

Back

STUDENT ADMISSION FORM

Instructions
Starred fileds are mandatory

Academic Year

Select Course *

PERSONAL DETAILS

Application Id

Student Full Name *

Last Name

First Name

Middle Name

Gender

Male

Female

Transgender

Birth Place

Date of Birth

dd/mm/yyyy

Aadhar Card Number

Contact Number *

Email Id *

Mother Tongue

Region

Urban

Rural

Religion

Caste With Sub Caste

Category

Nationality

Indian

Abroad

Not Available

Permanent Address
With Pincode

Local Address
With Pincode

Same As Above

Admission Type

PREVIOUS ACADEMIC DETAILS

Previous School / College Name and Address

Exam Month And Year

University / Board Name

Exam Seat No.

Exam Course Name

Last Exam Name

Last Exam Percentage

Do not use % symbol here

Aggregate Total

Enter only numeric values

Exam Type

Exam Medium

PARENT DETAILS

Father's Name

Father’s Occupation

Father’s Office Address
(With landmark for location)
Pincode

Mother's Name

Parent Contact Number

Parent Email

DOCUMENTS REQUIRED

1.Mark List= Orginal + 4 Xerox 2. Caste Certificate= 3 Xerox 3.L.C Original = 4 Xerox, 4. Aadhar Card= 2 xerox, 5. Bank Passbook= 2 Xerox 6. Ration Card = 2 Xerox 7. IF GAP = GAP CERTIFICATE

UNDERTAKING

The information provided above is best to my knowledge and belief, if found false my admission should be canceled.